(刘草窗)
治痛泻不止(脾虚故泻,肝实故痛。吴鹤皋曰∶此与伤食不同,伤食腹痛,得泻便减,
今
食积
化者
白术(土炒。三两) 白芍(炒。二两) 陈皮(炒。两半) 防风(一两。)或煎、
或丸。久
此足太阴、厥阴药也。白术苦燥湿,甘补脾,温和中;芍药寒泻肝火,酸敛逆气,缓中
止痛;防风辛能散肝,香能舒脾,风能胜湿,为理脾引经要药(东垣曰∶若补脾胃,非此引
用不能
(《局方》)
治冷热不调,下痢赤白,里急后重,脐腹瘀痛,口燥烦渴,小便不利(湿热郁于肠胃,
故
黄连(三两) 茯苓(二两) 阿胶(炒。一两。)为末,水熬阿胶为丸,空心米汤下。
延年
此手足阳明药也。黄连泻火燥湿,开郁消瘀,以平其痛热;阿胶补阴益血,润燥利肠,
以和其里急;茯苓能令人肺气下降,通于膀胱,清热利水,止渴除烦,为清解之平剂(黄连
退热
仲景黄连阿胶汤∶黄连(四两),黄芩(一两),芍药(二两),阿胶(三两),鸡子黄(二
枚。生用)。
治伤寒少阴病得之二三日以上,心烦不得卧(二三日以上,寒变热之时也,少阴多寐,
此
芍药
同矣)。
海藏黄连阿胶汤∶黄连(炒。四两),黄柏、阿胶(炒。各一两),山栀(五钱)。每服
四钱。治伤
(刘草窗)
治疗腹痛伴泄泻不止。这是因为脾虚导致泄泻,肝实导致疼痛。吴鹤皋说:这与伤食不同,伤食引起的腹痛,在排便后会减轻,而现在的症状是……(原文此处有缺漏或排版错误,根据上下文及痛泻要方原意,应为“今食积化者”或类似表述,但依指令不增添内容,故仅翻译可见部分)。
白术(土炒。三两) 白芍(炒。二两) 陈皮(炒。一两半) 防风(一两。)可以煎服,也可以制成丸剂。长期服用……这是足太阴脾经和足厥阴肝经的药物。白术味苦能燥湿,味甘能补脾,性温能和中;芍药性寒能泻肝火,味酸能收敛逆气,能缓急止痛;防风味辛能疏散肝邪,香气能舒展脾气,风能胜湿,是调理脾胃的引经要药(李东垣说:如果要补益脾胃,不用这种引经药是不能做到的)。
(《太平惠民和剂局方》)
治疗冷热不调,下痢赤白相间,里急后重,脐腹部瘀滞疼痛,口干烦躁口渴,小便不利。(这是因为湿热郁结于肠胃,所以……)
黄连(三两) 茯苓(二两) 阿胶(炒。一两。)研成粉末,用水熬化阿胶制成丸剂,空腹时用米汤送服。延年益寿……这是手足阳明经的药物。黄连能泻火燥湿,开郁消瘀,以平息疼痛和热象;阿胶能补阴益血,润燥利肠,以调和里急后重的症状;茯苓能使肺气下降,通调膀胱,清热利水,止渴除烦,是清解类的平和药剂(黄连退热……)。
张仲景的黄连阿胶汤:黄连(四两),黄芩(一两),芍药(二两),阿胶(三两),鸡子黄(二枚。生用)。
治疗伤寒少阴病,患病二三天以上,心中烦乱不得安卧(二三天以上,是寒邪转化为热邪的时候,少阴病通常多寐,这里却心烦不得卧,与此……相同了)。
张元素(海藏)的黄连阿胶汤:黄连(炒。四两),黄柏、阿胶(炒。各一两),山栀(五钱)。每次服用四钱。治疗伤……(原文截断)
(Liu Caochuang)
Treats persistent abdominal pain with diarrhea. This is because Spleen deficiency causes diarrhea, and Liver excess causes pain. Wu Hegao said: This is different from food stagnation; in food stagnation, abdominal pain is relieved after defecation, whereas now... [Text fragment]
Baizhu (Earth-fried. 3 liang), Baishao (Fried. 2 liang), Chenpi (Fried. 1.5 liang), Fangfeng (1 liang). Can be decocted or made into pills. Long-term use... This is a formula for the Foot-Taiyin (Spleen) and Foot-Jueyin (Liver) meridians. Baizhu is bitter to dry dampness, sweet to tonify the Spleen, and warm to harmonize the middle; Baishao is cold to drain Liver fire, sour to astringe rebellious Qi, and to relieve urgency and stop pain; Fangfeng is pungent to disperse Liver pathogenic factors, aromatic to soothe the Spleen, and wind can overcome dampness, making it an essential guiding herb for regulating the Spleen and Stomach (Li Dongyuan said: If one wishes to tonify the Spleen and Stomach, without this guiding herb, it cannot be achieved).
(Tai Ping Hui Min He Ji Ju Fang)
Treats imbalance of cold and heat, dysentery with red and white discharge, tenesmus, stasis-like pain in the umbilical and abdominal region, dry mouth with irritability and thirst, and difficult urination. (This is because damp-heat is constrained in the Intestines and Stomach, therefore...)
Huanglian (3 liang), Fuling (2 liang), Ejiao (Fried. 1 liang). Grind into powder, melt Ejiao with water to form pills, take on an empty stomach with rice broth. To prolong life... This is a formula for the Hand-Yangming and Foot-Yangming meridians. Huanglian drains fire and dries dampness, opens stagnation and resolves stasis, thereby calming pain and heat; Ejiao tonifies Yin and benefits blood, moistens dryness and lubricates the intestines, thereby harmonizing tenesmus; Fuling causes Lung Qi to descend, connects to the Bladder, clears heat and promotes diuresis, stops thirst and removes irritability, serving as a balanced clearing and resolving agent (Huanglian reduces fever...).
Zhang Zhongjing's Huanglian Ejiao Tang: Huanglian (4 liang), Huangqin (1 liang), Shaoyao (2 liang), Ejiao (3 liang), Ji Zi Huang (2 pieces. Raw).
Treats Shaoyin disease from Cold Damage, occurring two to three days or more, characterized by vexation and inability to sleep (Two to three days or more is the time when cold transforms into heat; Shaoyin disease typically involves somnolence, but here there is vexation and inability to sleep, which is similar to...).
Zhang Yuansu's (Haicang) Huanglian Ejiao Tang: Huanglian (Fried. 4 liang), Huangbai, Ejiao (Fried. each 1 liang), Shanzhi (5 qian). Take 4 qian per dose. Treats injury... [Text truncated]